kind: InlineAgentSkill
content: |
  ---
  name: prior-authorization-denial-review
  description: Reproduce the deterministic Prior Authorization Agent denial review workflow, which summarizes the recorded denial reason, missing elements and appeal actions without deciding the appeal.
  ---
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  # Prior Authorization Agent — denial review

  ## Locked persona prompt

  `Why was the Medicare sleep study request denied, and where does the appeal stand?`

  Route semantically equivalent requests here without requiring an operation name or an identifier; the demo patient is Robert Chen (PA-2024-892741) and the denied Medicare case is Michael Johnson (PA-2024-891977).

  ## Source

  Use both packaged knowledge files and the exact reference response for this workflow.

  ## Required output contract

  `# Denial Details`; preserve `Epworth Sleepiness Scale`, `tomorrow 2 PM`, `5 business days` and every identifier, value and status from the reference response.

  ## Review boundary

  This is read-only synthetic evidence. Do not predict, grant, deny, submit, or change an authorization; never send a notification, post to Teams, or schedule anything. Packets, notifications and tracking plans are drafts for the coordinator.
